HomeMy WebLinkAbout204649 12/13/2011 CITY OF CARMEL, INDIANA VENDOR: 00351747 Page 1 of 1
ONE CIVIC SQUARE TRI STATE BEARING CO INC
CARMEL, INDIANA 46032 PO BOX 4737 CHECK AMOUNT: $17.73
EVANSVILLE IN 47724 -0737 CHECK NUMBER: 204649
CHECK DATE: 12/13/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 461967 17.73 OTHER EXPENSES
TRI -STATE BEARING INVOICE
Shipped from:
2205 ENTERPRISE PARK PLACE
INDIANAPOLIS, IN 46218 Customer Cop
PH317- 924 -3287 FX317- 924 -3561
Remit to: Nuin6ei� r '1''. s' 461967
P.O.Box 4737 hi.
Evansville, IN 47724 -0737 Da te •3 11/29/11
Phone: 812 -425 -1336 Fax: 812 421 -6788
DLS 'Page;.:
Bill To: Carmel Utilities Ship To Carmel Wastewater Treatment PI
7430 760 3rd Ave SW Ste 110 L Z 4609 Hazel Dell Pkwy
Carmel, IN 46032 Indianapolis, IN 46280
n
Reference Shipped; t Salesperson Term's r
RrTax;;Code Doc Whu Feig t h Shtp Via
VERBAL -JEFF 11/22/11 ZI House Indi NET 30 DAYS X 100753 07 PREPAID PU
Item Description Ordered Shipped Backordrd UM. Price UM Extension
HAR 80X125X12ADL SEAL; METRIC;DBL.LIP 1.QQ 1.00 .00 EA 17.73 EA 17.73
b
t }t A ,�,kt r
r r �Merchandrse Y 4 y r 1 „Mist' a 'Discount r Tax Frel I ��,7btal Due
4a h 4 "��1re tr slr �a 1k l�r� i�,� f ,rqz w,
a
a J `E -'�7,
17.73 .00 .00 .00 17.73
WE APPRECIATE YOUR BUSINESS
VOUCHER 116380 WARRANT ALLOWED
351747 IN SUM OF
TRI -STATE BEARING CO., INC.
P.O. BOX 4737
EVANSVILLE, IN 47724 -0737
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
461967 01- 7202 -06 $17.73
Voucher Total $17.73
Cost distribution ledger classification if
claim paid under vehicle highway fund
Prescribed by State Board of Accounts City Form No. 201 (Rev 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice or bill to be properly itemized must show, kind of service, where
performed, dates of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
351747
TRI -STATE BEARING CO., INC. Purchase Order No.
P.O. BOX 4737 Terms
EVANSVILLE, IN 47724 -0737 Due Date 12/6/2011
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
12/6/2011 461967 $17.73
I hereby certify that the attached invoice(s), or bill(s) is (are) true and
correct and I have audited same in accordance with IC 5- 11- 10 -1.6
1Z 'Will f yu
Date Officer